| NPI | 1184850653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.131329) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036131329) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2014-04-22 |